Individual
ABBY DAE DANIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5537 CANADA CT, ROCKWALL, TX 75032-8412
(214) 679-1944
Mailing address
12770 COIT RD, DALLAS, TX 75251-1336
(972) 756-0500
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
34522
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19641731
DRIVERS LICENSE
TX
Enumeration date
02/14/2023
Last updated
02/14/2023
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